Most modern non-permanent fillers are made of hyaluronic acid (HA) a substance which occurs naturally in the body. Among other functions, hyaluronic acid helps hydrate and add volume to your skin. With age, we replenish our hyaluronic acid at a slower rate. This means the moisturising and plumping effects decrease, making fine lines & wrinkles more apparent.
Dermal fillers help to restore our skin to its former youthful appearance.

Dermal fillers can be used on any part of the body that will benefit from hydration with hyaluronic acid, such as the skin of the face, upper chest, or back of the hand. Specific types and grades of hyaluronic acid can be used to correct contour defects and hollows like acne scars.

There is a range of dermal fillers, each designed for a specific result and to applied to a particular layer of the skin. Fillers that hydrate aging skin are different to those that we use to re-contour facial outlines. There are specialised fillers to hydrate lips.
With training and experience, aesthetic specialist doctors develop the skill to select the correct product for the patient’s needs and skin type.
Broadly, dermal fillers can be grouped into non-permanent (resorbable) or permanent (non-resorbable). At Reverse Time, we use only approved, non-permanent fillers.

Most people are okay to have dermal fillers, as long as they are not allergic to any of the ingredients.
benefit from dermal fillers treatment. If a patient has skin infections like acne, cold sores or impetigo, most cosmetic treatments and injections in the are should be avoided.

For obvious ethical reasons, scientific tests are not performed on pregnant women, or mothers who breast-feed their babies. So there is no data as to whether dermal fillers are safe in these conditions. Patients whose immune response is altered, either by disease or medication, are more likely to have reactions, infection and other complications with filler injections.

During your consultation you will discuss your needs and medical history with your doctor.

Over the years, millions of dermal filler treatments have been done uneventfully. Commonly, there is some pain, redness, bruising, bleeding or swelling as with all injection procedures. These will settle with no sequelae. Bruises understandably last a bit longer after injection into the lips. All injection treatments have a small risk of infection.

You should discuss side effects and post treatment reactions with your practitioner during consultation.

The effects will last generally between 6 months to a year, sometimes longer.
This will obviously differ between different types/ grades of fillers. And also the patient, more active patients will metabolise fillers faster.

Typical areas patients request treatment for are around the eyes, the mouth or nasal labial folds. Hollowing, flattening and loss of Volume shows mainly in the lips, cheeks and chin areas. Popular areas for treatment are labeled in the picture below.

fillers sites

The results are immediate. We always aim to produce natural looking results.

If you are trying to work out whether you will benefit from dermal fillers or from a thread lift, these considerations could help to decide whether you would need volumising or thread treatment or both:
1 – After the age of 30, there is a tendency for the “cheek fat pad” to slide downwards – put simply, this is what eventually creates a “jowl” appearance.
2 – Thinning of the bone of the jaw, and a receding chin may provide less support to the cheek, thus causing loss of definition.
3 – Most importantly, loss of volume in the mid-face region – the “shadow” or “hollow” under the eyes and on either side of the nose – is the main cause of the early ageing appearance. Most people see this but cannot identify it as such, instead they end up sticking fillers under the lower eyelid, upper lip – all of which distorts the shape of the face.
4 – when any suspension or “thread” treatment is used to reposition the tissues in the face, one has to remember that this is simply a way of moving skin around and anchoring it to other structures, in this case, another part of the facial skin. So, it follows that the area it is is being anchored to must be strong, good volume, and not in itself likely to start sagging.
As a specialist in non-surgical cosmetic treatments, I usually start with assessing a patients face volume, and the “trend” or “pattern” of ageing – by comparing a current photo (front, both sides) – to a photo taken 5-10 years earlier, preferably see the parents ageing pattern as well.
If required, volume should be replaced first, because skin should never be tightened or stretched over hollow areas. Filling the midface will naturally define the profile, and tauten the jawline.
Next, any lack of support in the facial skeleton should be corrected with augmentation (Radiesse, preferably, as it is Calcium Hydroxylapatite, a biostimulant which I use to correct bumps in nose bridge, receding chin, sagging cheeks). Then if there is still any slack in the lower face, thread lift using Silhouette Soft or PDO threads (lifting threads, not just stimulating threads) can help with that.